Xtreme Care LLC

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Legal business name

XTREME CARE LLC

Practice address

18191 NW 68TH Ave Ste 215
Hialeah, FL 33015-3998

Phone

(305) 364-5214

Fax

(786) 332-2359

NPI assigned

May 12, 2021

Last updated

Jul 16, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yusimil De la Noval

Title

Owner

Phone

(786) 663-6714

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1356925572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18191 NW 68TH AVE STE 215",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153998",
            "telephone_number": "305-364-5214",
            "fax_number": "786-332-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18191 NW 68TH AVE STE 215",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153998",
            "telephone_number": "305-364-5214",
            "fax_number": "786-332-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTREME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "DE LA NOVAL",
        "authorized_official_first_name": "YUSIMIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-663-6714"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "30212212",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Attendant Care Provider in Hialeah, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.